Individual provider Active NPI

Amelia Adelaide Wooten, MD

  • Neurology with Special Qualifications in Child Neurology Physician
  • Lexington, KY
National Provider Identifier
1811458250
Registry record updated Dec 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
60158 Issued in KY
Practice address
2195 Harrodsburg Rd Ste 2
Lexington, KY 40504-3516
Phone
(859) 562-1868
Fax
(859) 257-0421
NPI assigned
Mar 28, 2019
Last updated
Dec 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X 60158 KY Primary

Addresses

Primary practice location

2195 Harrodsburg Rd Ste 2
Lexington, KY 40504-3516

Mailing address

800 Rose St RM MN-118
Lexington, KY 40536-7001
Phone (859) 323-5157

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250103001771 KY Practitioner - Neurology 4183091606 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Kentucky Medical Services Foundation, Inc CurrentSince Dec 23, 2024 Accepting new patients
University of Kentucky CurrentSince Dec 23, 2024 Accepting new patients
Children's Hospital Los Angeles Past Accepting new patients
Commission for Children With Special Health Car Past Accepting new patients

Locations

110 Johnson Ln
Barbourville, KY 40906
Phone (606) 546-5109

103 Town and Country Ln
Ste M
Hazard, KY 41701

2195 Harrodsburg Rd
Ste 125
Lexington, KY 40504
Phone (859) 257-4732

2195 Harrodsburg Rd
Ste 2
Lexington, KY 40504
Phone (859) 323-8082

2400 Greatstone Pt
Lexington, KY 40504
Phone (859) 257-9800

333 Waller Ave
Ste 300
Lexington, KY 40504
Phone (859) 252-3170

800 Rose St
Lexington, KY 40536
Phone (859) 257-8562

800 Rose St
Rm MN118
Lexington, KY 40536
Phone (859) 323-5157

214 W 1st St
Morehead, KY 40351
Phone (606) 783-8610

5000 Ky Route 321
Prestonsburg, KY 41653
Phone (606) 886-7645

401 Bogle St
Ste 104
Somerset, KY 42503
Phone (800) 525-4279

Interoperability endpoints

  • Direct secure messaging: awooten23440@ukhcdirect.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1553731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734912000000",
    "number": "1811458250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 ROSE ST RM MN-118",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405367001",
            "telephone_number": "859-323-5157",
            "fax_number": "859-323-1315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2195 HARRODSBURG RD STE 2",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405043516",
            "telephone_number": "859-562-1868",
            "fax_number": "859-257-0421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOTEN",
        "first_name": "AMELIA",
        "middle_name": "ADELAIDE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-28",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "KY",
            "license": "60158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.